Morales del Valle Z, Vázquez Calzada J L
Department of Social Sciences, Graduate School of Public Health, University of Puerto Rico.
P R Health Sci J. 1994 Sep;13(3):175-81.
This study has as its objectives: 1) to examine the association between Apgar score and a set of demographic and sociodemographic variables so as to assess its usefulness as an indicator of the physical conditions of the newborn; 2) to determine if Apgar score in Puerto Rico is a good predictor of the newborn probability of surviving during his first year of life. For this purpose the 1990 live births and infant deaths data was utilized. The results indicate a direct relation between Apgar score with mother's schooling, father's occupation, and number of prenatal visits. Apgar score shows, also, an U curve type relationship with birthweight and gestational age, while it was found to be higher in private than in public hospitals. One of the most important findings was the strong association between infant mortality and Apgar score, even when the effect of other important independent variables such as birthweight and gestational age were held constant. These results demonstrate that, in spite of its criticisms Apgar score seems to be an excellent indicator of the newborn conditions at birth and a very good predictor of infant mortality in Puerto Rico.
1）检验阿氏评分与一系列人口统计学和社会人口统计学变量之间的关联，以评估其作为新生儿身体状况指标的有用性；2）确定波多黎各的阿氏评分是否是新生儿一岁内存活概率的良好预测指标。为此，使用了1990年的活产和婴儿死亡数据。结果表明，阿氏评分与母亲的受教育程度、父亲的职业以及产前检查次数之间存在直接关系。阿氏评分还与出生体重和孕周呈U型关系，同时发现私立医院的阿氏评分高于公立医院。最重要的发现之一是，即使在出生体重和孕周等其他重要自变量的影响保持不变的情况下，婴儿死亡率与阿氏评分之间仍存在强烈关联。这些结果表明，尽管阿氏评分受到批评，但它似乎是出生时新生儿状况的极佳指标，也是波多黎各婴儿死亡率的良好预测指标。
